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      Clinical study of Edaravone Dexborneol combined with Tirofiban in treatment of Acute Cerebral Infarction

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          Abstract

          Objective:

          To explore the clinical efficacy and safety of edaravone dexborneol combined with tirofiban in the treatment of acute cerebral infarction.

          Methods:

          This is a retrospective study. A total of 80 patients with acute cerebral infarction (ACI) treated in Cangzhou People’s Hospital from March 2018 to December 2021 were selected, and randomly divided into the routine group(n=40) and intervention group(n=40) according to the principle of random draw. Neurological deficits in the two groups were evaluated and compared before and after treatment using the National Institutes of Health Stroke Scale (NIHSS). The quality of life of the patients was evaluated by the modified Rankin Scale (mRS).

          Results:

          Before treatment, NIHSS and mRS scores of the two groups were not statistically significant( p>0.05); the levels of Vmin and Qmin in the two groups showed no statistical significance( p>0.05); no statistical significance was found in CRP or IL-6 levels between the two groups( p>0.05). After treatment for 14 days, the NIHSS and mRS scores of the two groups both decreased, which was more significant in the intervention group( p<0.05); Vmin and Qmin levels increased in both groups, which was more obvious in the intervention group( p<0.05); CRP and IL-6 levels reduced in both groups, which was more remarkable in the intervention group( p<0.05). The incidences of relevant adverse drug reactions presented no differences between the two groups during treatment( p>0.05).

          Conclusion:

          Edaravone dexborneol combined with tirofiban in the treatment of ACI can effectively improve patients’ neurological deficits, quality of life and cerebral blood flow, and reduce inflammatory factor levels, have significant clinical efficacy and high clinical treatment safety.

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          Most cited references20

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          Thrombolysis in Cerebral Infarction Grade 2C or 3 Represents a Better Outcome than 2B for Endovascular Thrombectomy in Acute Ischemic Stroke: A Network Meta-Analysis

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            Preventive Effect of Cilostazol on Pneumonia in Patients with Acute Cerebral Infarction

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              • Article: not found

              Emergency valve surgery improves clinical results in patients with infective endocarditis complicated with acute cerebral infarction: analysis using propensity score matching†.

              To date, the optimal timing for patients with infective endocarditis (IE) with acute cerebral infarction (CI) to undergo valve surgery is unknown. Although some previous studies have reported that early valve surgery for IE patients within 1 or 2 weeks after CI could be performed safely, an initial strategy has not been identified because of the unmatched cohorts in previous studies. This study aimed to assess the feasibility and safety of early surgery within a few days after cerebral infarction by using propensity score matching.
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                Author and article information

                Journal
                Pak J Med Sci
                Pak J Med Sci
                Pakistan Journal of Medical Sciences
                Professional Medical Publications (Pakistan )
                1682-024X
                1681-715X
                Jan-Feb 2024
                : 40
                : 1Part-I
                : 190-194
                Affiliations
                [1 ]Yuxia Mi, Department of Neurology, Cangzhou People’s Hospital, Cangzhou 061000, Hebei, P.R. China
                [2 ]Zhigang Hou, Department of Neurology, Cangzhou People’s Hospital, Cangzhou 061000, Hebei, P.R. China
                [3 ]Jiaqi Liu, Department of Neurology, Cangzhou People’s Hospital, Cangzhou 061000, Hebei, P.R. China
                [4 ]Caixia Zhang, Department of Neurology, Cangzhou People’s Hospital, Cangzhou 061000, Hebei, P.R. China
                Author notes
                Correspondence: Yuxia Mi, Department of Neurology, Cangzhou People’s Hospital, Cangzhou 061000, Hebei, P.R. China. Email: lm05678q@ 123456126.com
                Article
                PJMS-40-190
                10.12669/pjms.40.1.7630
                10772451
                c2fa4395-a64c-484f-b896-21a560dff252
                Copyright: © Pakistan Journal of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 January 2023
                : 27 April 2023
                : 30 August 2023
                : 16 September 2023
                Categories
                Original Article

                acute cerebral infarction,edaravone dexborneol,tirofiban,inflammatory factor,hemodynamic index

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